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PosturePractice.comGrow Your Practice withPosture AssessmentGet More Patients and Clients - Keys toEngagement, Compliance & Coding 2016 Dr. Steven Weiniger, BodyZone, Inc. 770-922-0700 PosturePractice.com
Table ofContentsHow to Grow Your Practicewith Posture AssessmentPosturePractice.com1.3 Reasons to Offer PosturePictures2.How to Take a Posture Picture3.How to Perform a PostureAssessment4.ICD-10 Coding: PostureSyndromes5.5 Factors in Choosing the BestGrid6.Resource: Free Posture App7.Be the Go-to Posture Specialist770-922-0700 2016 BodyZone.com, Inc.all rights reserved.Content, images reprintedwith permission. No part ofthis ebook may be extractedor used for anotherpurpose. 2016 Dr. Steven Weiniger, BodyZone, Inc. 770-922-0700 PosturePractice.com
3 Reasons to Offer Posture PicturesDr. Steven Weiniger3 reasons you must offer posture assessments:Relationships, Engagement & ComplianceBuilding body awareness with posture consciousness begins with aframework to communicate the "why" of the individualized exercise planor rehab care you've prescribed.Posture pictures are a simple yet powerful tool to show patients whatyou see and getting their buy-in for developing a plan for improvement.Remember, just because the pain may be gone, it doesn’t mean the biomechanic issue(s) at fault are sustainably addressed. However,unfortunately many patients and clients discontinue care and stopdoing commonly prescribed home rehab exercise when pain subsides,setting the stage for the problem to return. 2016 Dr. Steven Weiniger, BodyZone, Inc. 770-922-0700 PosturePractice.com
Wherever the pain is - back, neck, knee, shoulder, etc. - when theproblem returns, all too often the patient or client “forgets” their noncompliance, saying to themselves (and possibly others) that your caredidn’t “fix” their problem.Posture assessment pictures help people understand the benefits ofcare while systematically engaging them as they experienceimprovement in doing their StrongPosture exercise or other in-officerehab or posture improvement exercise program.Plus, when people see dramatic changes in their posture picture, theynot only tell others - they show them!“I always find it funny how every patient has the samereaction when they see their first posture picture. They arejust amazed – it’s not what they expect. After several weeks ofprogressing through the posture protocols, we take anotherpicture.They can see the results themselves, which shows them thevalue of the care we provide.” Mike Knapp, CA, CPEP 2016 Dr. Steven Weiniger, BodyZone, Inc. 770-922-0700 PosturePractice.com
How to Take a Posture PictureCourtesy of PosturePractice.comPosture pictures provides eye-opening evidence of postureimprovement or decline over time. Showing people the unbiased truthabout their posture is a great way to market your services to potentialclients & patients.In this tutorial, Dr. Weiniger shows how to take a posture picture thathelps both you and your patients/clients to assess and track posture.“Taking posture pictures pre and post-massage, and usingthese to plan assessments and build a baseline has been agreat success. People love the posture pictures.It has actually helped me to see further and deeper therelationship between what’s going on with a person’s postureand a person’s lifestyle.” Luther Lockard, MT, CPEP 2016 Dr. Steven Weiniger, BodyZone, Inc. 770-922-0700 PosturePractice.com
How to Perform a PostureAssessmentDr. Steven WeinigerAre you offering posture assessments? If you work with bodies from aposture, function, motion or rehab basis, I hope your answer is Yes!I recommend taking a posture picture on the first visit to set a baselinefor post-treatment or exercise plan comparison and to track changeswith annual follow-ups.Watch the how-to video demonstrating a basic postural assessment.For a more in-depth view of how to perform posture assessments, howto relay your findings, and where to schedule screenings in yourcommunity, read Posture Pictures: Assessments, Screenings, Marketing& Forms (includes intake form, assessment forms, marketing flyers). 2016 Dr. Steven Weiniger, BodyZone, Inc. 770-922-0700 PosturePractice.com
ICD-10 Coding: Posture SyndromesDr. Steven WeinigerMany posture-focused professionals have asked me about ICD-10coding for posture like Upper and Lower Cross syndromes, as well asother structural and posture imbalances.These are real bio-mechanic issues that respond well to care, but for allICD-10’s specificity, there aren’t good ICD-10 diagnosis codes forposture conditions.The Reason: Postural asymmetries, patterns, and other bio-mechanicadaptations are observations, not a diagnosis.So for low back pain, M54.5 in ICD-10 (what was 724.2 in ICD-9)describes the symptom and can be a diagnosis. If there’s a lower crosssyndrome, you know muscle and stress patterns to address passively(SMT and MT) as well as actively with StrongPosture exercise.But Lower Cross is not a diagnosis. However, it’s a posture observation 2016 Dr. Steven Weiniger, BodyZone, Inc. 770-922-0700 PosturePractice.com
and can be a contributing component of a more definitive diagnosis.Even though it’s not coded, it should be documented properly so thatwhen necessary you can justify longer term treatment. On the otherhand, you can roughly address posture as a somatic dysfunction, andsupport that with upper or lower cross as an observation:M99.03- Segmental and somatic dysfunction, Lumbar region. This isanalogous to 739.3 in ICD-9Also of interest:M99.01- Segmental and somatic dysfunction, Cervical regionM99.02- Segmental and somatic dysfunction, Thoracic regionM99.04- Segmental and somatic dysfunction, Sacral regionM99.05- Segmental and somatic dysfunction, Sacroiliac, hip, pubesregionOther postural considerations are R29.3 - Abnormal posture. But again,this is in signs and symptoms chapter, so is not a definitive diagnosis.Also in this realm, the M-40 codes cover abnormalities of kyphosis andlordosis, and the M-41 codes cover scoliosis. M62.89 is in otherspecified disorders of muscle, and could be a catch all (which meansit’s also more likely to be scrutinized, document appropriately).“Everything was full-speed ahead after the seminar. I boughtthe posture grid and book Posture Pictures. I knew I hadcome into a quality program, and I wanted to do it right.The StrongPosture protocols are changing the wellnessprofession. Dr. Weiniger has put these exercises in asequential protocol, which is easy to implement and engagingfor patients. Posture certification has been a simple way toadd tools to my tool bag for a low investment of time andmoney, with great return and the personal gratification ofhelping so many. It has certainly given me a competitive edgein promoting my services.” Dr. Boyd Williams, CPEP 2016 Dr. Steven Weiniger, BodyZone, Inc. 770-922-0700 PosturePractice.com
5 Factors in Choosing the Best GridRenee North, CPT, CPEP 1. Space - Wall and door mount posture charts have the advantage oftaking zero floor space. A portable grid is free-standing, and thesupport system requires about a 10" clearance from a wall. If floorspace is an issue choose a grid you can mount.2. Cost - Door and wall grids are the least expensive options. You canexpect grids that retract for portable to cost about 100 more. 2016 Dr. Steven Weiniger, BodyZone, Inc. 770-922-0700 PosturePractice.com
3. Durability - Wall and door grids made from a plastic material are themost durable and are easily cleaned. Patients (or kids) can lean againstthem sparing your walls of scuffs and body oil transfer. Many pros teachposture exercise against a mounted grid for this reason.Portable grids require extra care and attention when pulling from andretracting into the base to avoid damage. They are also not the bestoption for a high-traffic area.Note: Paper grids won't hold-up and get dirty immediately. Laminatedgrids are a bad choice because they don't lie flat and the shiny surfacecreates a glare ruining your image. Also avoid banner or vinyl grids asthey buckle due to seaming and give inaccurate results.4. Clientele - Wall and portable grids typically stand about 7' tall and 3'wide, making them suitable for your tallest and widest subjects. Doorgrids are slightly smaller, while they save space and will accommodatealmost everyone, you may lose detail on some clients.5. Screenings - For health talks and screenings, portable grids are idealbecause they are compact, lightweight and can be set up in seconds.** Click here to see the largest posture chart selection. 2016 Dr. Steven Weiniger, BodyZone, Inc. 770-922-0700 PosturePractice.com
Resource: Free Posture AppProvided Courtesy of PostureZone.comNow that you see the value of providing postural analysis downloadPostureZone, the free posture assessment app.With this app you can easily identify alignment asymmetries betweenthe head, torso, and pelvis over the center of the feet. PostureZoneclinical measurements show in degrees the variance of distortion toclearly identify symmetry, balance, improvements or changes.**Checkout the free app and download PostureZone here."It’s gratifying to see changes in posture that aredemonstrable by pre- and post-scans.Patients get really excited about it, and it’s something theycan relate to on a day-to-day basis of, 'Yes, I am movingbetter, I’m feeling better, I can see my posture is better." Robert Zimmerman, DC, CPEP 2016 Dr. Steven Weiniger, BodyZone, Inc. 770-922-0700 PosturePractice.com
Be the Go-toPosture Specialist-Strategies to increase revenue-Get community engagement-CPEP Step-by-step protocol-Benefit from media coverage-Marketing how-to & toolsFREE INFO PACKET 2016 Dr. Steven Weiniger, BodyZone, Inc. 770-922-0700 PosturePractice.com
Watch the how-to video demonstrating a basic postural assessment. For a more in-depth view of how to perform posture assessments, how to relay your findings, and where to schedule screenings in your community, read Posture Pictures: Assessments, Screenings, Marketing & Forms (includes intake fo
